DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CREATIVE EXPRESSIONS LEARNING CENTER, EUREKA

002639112

(636) 938-3999

76 LEGENDS PARKWAY
EUREKA
MO  63025

CADENCE EDUCATION MISSOURI, LLC



 


director.eureka@cadence.education

Incorporated

MICHELLE (SHELLEY) TRUESDALE

6 WEEKS - 13 YEARS

202

GROUP HOME AND CENTER

52 CHILDREN IN THE INFANT/TODDLER UNIT; 24 CHILDREN UNDER 12 MONTHS; 36 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/07/2019

1:30 PM

4:12 PM

UNANNOUNCED

COMPLIANCE MONITORING

2352777094


DocumentDocument-Date
APPLICATION 01/30/2017
CHILD CARE PRACTICES 02/06/2017
DIAGRAM/INDOOR 02/06/2017
DIAGRAM/OUTDOOR 02/06/2017
EQUIPMENT LIST 02/21/2019
DISCIPLINE POLICIES 02/06/2017
JOB RESPONSIBILITIES 02/06/2017
STAFF SHEET 02/21/2019
SAMPLE WEEKLY MENU 02/06/2017
POLICIES 02/06/2017
DIRECTOR'S QUALIFICATIONS 01/27/2017
LOCAL BUILDING APPROVAL 01/01/2019
SAMPLE FORMS 02/06/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 02/06/2017
LINES OF ADMINISTRATIVE AUTHORITY 12/03/2016
ARTICLES OF INCORPORATION 12/02/2016
CERTIFICATE OF GOOD STANDING 12/03/2016
LOCAL ZONING APPROVAL 01/01/2019
DAILY SCHEDULE 02/23/2017
REGISTERING FICTITIOUS NAMES 01/31/2017
FIRE/SAFETY INSPECTION 01/17/2019
SANITATION INSPECTION 01/10/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/19/2017
SAFE SLEEP POLICY 04/19/2017

Overlap Start TimeOverlap End TimeOverlap Submit Date
  2:00PM   4:00PM   5/24/2017



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 19
Total Children 130
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Staff: Marissa Picarella & Hayde Nehring
2 7 INFANTS AND TODDLERS Staff: Norma Milan & Kennedy Bell
2 8 INFANTS AND TODDLERS Staff: Camry Cowsert & Priscilla Brandhorst
2 8 INFANTS AND TODDLERS Staff: Ashley Marcellan & Marissa Hughey
3 0 NO CHILDREN IN ATTENDANCE Jessica Berry, Cathy Lewis, & Millie Rivero also present
1 20 PRESCHOOL Staff: Kim Prestien w/napping children, additional staff on-site
1 15 PRESCHOOL Staff: Debbie Williams w/ napping children, additional staff on-site
1 16 PRESCHOOL Staff: Shastine Snow-Woosley w/ napping children, additional staff on-site
2 27 SCHOOL AGE Staff: Tosha Akers & Tara Mueller
1 7 TWO YEAR OLDS Staff: Stephanie Nipper
2 15 TWO YEAR OLDS Staff: Lauren Berry & Paige Null

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, person(s) employed or volunteer(s) counted in staff/child ratio: background screenings have been requested for all staff, results have not yet been received.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: After the child care provider applies for renewal of the license, the provider shall request the results of a criminal record review from the Missouri State Highway Patrol for the child care provider, the owner(s), board president or chairperson, the center director or group day care home provider, all persons employed by the child care provider, and all volunteers counted in staff/child ratios. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Priscilla B & Paige N. did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (D) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Paige N. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Paige N..
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of a criminal background check. A child care staff member(s), Marisa P. & Paige N., was/were employed/present prior to the provider requesting the results of a criminal background check.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt child care facility, the child care provider shall request the results of a criminal background check for such child care staff member from the department of health and senior services.
Correction Required
Required requests/results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date